Texas Workers’ Comp September Enforcements Include $118K in Fines

Final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) for September include $118,000 in fines, the department announced. Final disciplinary orders for September 2011, in alphabetical order, are:

Accident Fund Insurance Co. of America of Lansing, Mich.

Order Number: DWC11-0089

Date of Order: 9/23/2011

Order Final In: September

Action Taken: Fined $8,000

Violation: Failed to accurately report benefit data to TDI-DWC

Chubb Indemnity Insurance Co. of Warren, N.J.

Order Number: DWC11-0092

Date of Order: 9/23/2011

Order Final In: September

Action Taken: Fined $24,000

Violation: Failed to timely pay income benefits to injured employee; Failed to accurately report benefit data to TDI-DWC

City of Corpus Christi of Corpus Christi

Order Number: DWC11-0085

Date of Order: 9/8/2011

Order Final In: September

Action Taken: Fined $1,000

Violation: Failed to timely pay income benefits to injured employee; Failed to accurately submit medical bill and payment data

Clarendon National Insurance Co. of New York, N.Y.

Order Number: DWC11-0090

Date of Order: 9/23/2011

Order Final In: September

Action Taken: Fined $26,500

Violation: Failed to accurately and timely report benefit data to TDI-DWC; Failed to timely pay medical bill or to pay medical bill according to TDI-DWC Medical Fee Guidelines

Corpus Christi Independent School District of Corpus Christi

Order Number: DWC11-0087

Date of Order: 9/8/2011

Order Final In: September

Action Taken: Fined $15,000

Violation: Failed to accurately report electronic billing data to TDI-DWC

Federal Insurance Co. of Warren, N.J.

Order Number: DWC11-0093

Date of Order: 9/23/2011

Order Final In: September

Action Taken: Fined $17,500

Violation: Failed to timely pay income benefits to injured employee; Failed to timely pay medical bill

Gottesman, Jerome G. of Houston

Order Number: DWC11-0091

Date of Order: 9/23/2011

Order Final In: September

Action Taken: Fined $1,000

Violation: Breached a TDI-DWC approved agreement

Lewis, Jacques Brandon M.D. of Uvalde

Order Number: DWC11-0084

Date of Order: 9/8/2011

Order Final In: September

Action Taken: Fined $2,000; Must attend physician training

Violation: Failed to provide sufficient documentation to support conducting problem-oriented physical examinations

Wal-Mart Associates Inc. of Bentonville, Ark.

Order Number: DWC11-0086

Date of Order: 9/8/2011

Order Final In: September

Action Taken: Fined $23,000

Violation: Failed to timely pay income benefits to injured employee; Failed to timely respond to a request for reconsideration; Failed to pay fees according to TDI-DWC Medical Fee Guidelines

Source: Texas Department of Insurance, Division of Workers’ Compensation